| NPI | 1538174446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010241) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 010241) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 010241) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-04-04 |